Increase of neuronal injury markers Tau and neurofilament light proteins in umbilical blood after intrapartum asphyxia

J Matern Fetal Neonatal Med. 2018 Sep;31(18):2468-2472. doi: 10.1080/14767058.2017.1344964. Epub 2017 Jul 9.

Abstract

Aim: Compare the levels of the brain injury biomarkers Tau and neurofilament light protein (NFL) in cases of asphyxia with those in controls.

Materials and methods: We analyzed the neuronal proteins Tau and NFL in umbilical blood of 10 cases of severe-moderate intrapartum asphyxia and in 18 control cases.

Results: The levels of both Tau and neurofilament were significantly higher after asphyxia and it appeared to be a correlation between the levels of the biomarkers and the severity of the insult.

Discussion: Future studies are warranted to support or refute the value of Tau/NFLin clinical practice.

Conclusion: Fetal asphyxia remains a clinical problem resulting in life-long neurological disabilities. We urgently need more accurate early predictive markers to direct the clinician when to provide neuroprotective therapy.

Keywords: Asphyxia; biomarkers; brain injury; umbilical blood.

MeSH terms

  • Adult
  • Asphyxia Neonatorum / blood*
  • Biomarkers / blood*
  • Brain Injuries / blood*
  • Brain Injuries / congenital
  • Case-Control Studies
  • Female
  • Fetal Blood / chemistry
  • Fetal Blood / metabolism*
  • Fetal Hypoxia / blood*
  • Humans
  • Infant, Newborn
  • Male
  • Neurofilament Proteins / blood*
  • Pregnancy
  • Young Adult
  • tau Proteins / blood*

Substances

  • Biomarkers
  • Neurofilament Proteins
  • neurofilament protein L
  • tau Proteins